Shiv Ramamurthi

Internet of Medical Things and Trusted MetaData

TFSS 2016, San Jose

Dec 2nd , 2016

Director Healthcare Technology, ARM

shiv.ramamurthi@arm.com

© ARM 2016 2

Chronic Ilnesses

Rising + Aging

population 2020

Chronic

Diseases

¾ of deaths*

* Source: World health organization

$3.2 Trillion

spent on

healthcare in

US **

**Source: NHE (National Health Expenditure)

Above 65 yr

40 mil in

2010 to

88 million in

2050 ***

***Source: US Census

© ARM 2016 3

When it comes to health we typically only see the tip

3

Emergency Room Annual Exam

Flu Shot @ Work Illness Visit

Medication Working

BP under control

Resting Heartrate

Sleep Quality?

Regular Exercise?

Weight Control

Glucose under control

Timing interim visits to Doctor

Heart Function

© ARM 2016 4

By 2020 there will be have been 1.15

Billion connected health & fitness devices

cumulatively shipped

Source: Gartner IoT Device Forecast

© ARM 2016 5

Tsunami of connected medical devices coming

© ARM 2016 6

Telemedicine to the rescue

Traditional – FTF Care Telehealth via video &

phone 80% efficacy

for common ailments*

Add Remote Monitoring &

Diagnostics 95%+ efficacy

for common ailments*

Dir

ect

Clin

ical

Car

e

Clinical

Dash boarding for

managing patient

populations

*Source: Dr. Dan Davis, CEO Healthcare Interactive Care technologies

45%

37%

18%

TAM: $32.4B $305B

SAVINGS

Remote Monitoring Telehealth Behavioral Modification

** Source: Goldman Sachs

© ARM 2016 7

How can better security provide a better user experience?

Security done well provides the foundations

For services, capabilities and user experiences:

Can I view my health records on my mobile device?

Can I pay my medical bills with a swipe of a finger?

Can I message my doctor about health problems?

Can I get the same quality care from my Doctor remotely

as I can in-person for common health issues?

© ARM 2016 8

In 5 years there will be more data outside EHR than in it

Clinical Observations

EHR Data

Patient Generated Data: Physiological & Psycho-social

(2314 Exabyte's in 2020)

Historical diagnosis, labs,

EMRs, imaging, radiology

and billing codes

Blood pressure, heart

rate, weight,

temperature, chief

complaint

Physiological

• Biometrics (BP, BG, Spo2..)

• Environment (air, water,

food, exercise...)

Psycho-Social

• Pain

• Emotion

• Energy

Doctor’s observations and

thoughts

Trusted MetaData is the new Oil,

Blood Pressure

Timestamp

Frequency

DeviceID

Device Position

Authentication

© ARM 2016 10

Pre-Requisites for acquiring remote medical data

Sensors

Care Giver

Phone

Gateway

Elderly Monitoring Wellness

3. Consent to

share

1. Application layer

encryption

2. Patient

Identity

© ARM 2016 11